PMID- 11308233
OWN - NLM
STAT- MEDLINE
DCOM- 20010503
LR  - 20220311
IS  - 0008-428X (Print)
IS  - 1488-2310 (Electronic)
IS  - 0008-428X (Linking)
VI  - 44
IP  - 2
DP  - 2001 Apr
TI  - Cost factors in Canadian pediatric trauma.
PG  - 117-21
AB  - OBJECTIVES: To estimate the costs of Canadian pediatric trauma and identify cost 
      predictors. DESIGN: A chart review. SETTING: A regional trauma centre. STUDY 
      MATERIAL: The charts of all 221 children who suffered traumatic injuries with an 
      Injury Severity Score (ISS) of 4 or more seen over 6 years at a regional trauma 
      centre. MAIN OUTCOME MEASURES: Patient data, injury data, all hospital-based 
      costs, excluding nursing, food and medication costs. RESULTS: Mean (and standard 
      deviation) patient age was 12.8 (5) years. Sixty percent were boys. Motor vehicle 
      accidents (MVAs) accounted for 71% of the injuries, followed by falls (11%). The 
      mean (and SD) total cost of care was Can$7,582 (Can$12,370), and the cost of 
      media was Can$2,666. Total cost correlated directly with age (r = 0.29, p < 
      0.001) and Injury Severity Score (ISS) (r = 0.34, p < 0.001) and inversely with 
      the Pediatric Trauma Score (PTS) (r = -0.20, p = 0.003). The presence of 
      extremity injuries correlated significantly with total cost (r = 0.22, p = 0.001) 
      and PTS (r = -0.25, p < 0.001) but not with the ISS. Logistic regression analysis 
      identified runk injury, ISS and PTS as the main determinants of survival. 
      CONCLUSIONS: The cost of pediatric trauma in Canada can be predicted from 
      admission data and trauma scores. The cost of extremity injuries is significant 
      and can be predicted by the PTS but not the ISS.
FAU - Dueck, A
AU  - Dueck A
AD  - Department of Surgery, Queen's University, Kingston, Ont.
FAU - Poenaru, D
AU  - Poenaru D
FAU - Pichora, D R
AU  - Pichora DR
LA  - eng
PT  - Journal Article
PL  - Canada
TA  - Can J Surg
JT  - Canadian journal of surgery. Journal canadien de chirurgie
JID - 0372715
SB  - IM
CIN - Can J Surg. 2001 Dec;44(6):462. PMID: 11764884
MH  - Accidental Falls/economics/statistics & numerical data
MH  - Accidents, Traffic/economics/statistics & numerical data
MH  - Adolescent
MH  - Canada/epidemiology
MH  - Cause of Death
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Health Services Research
MH  - Hospital Costs/*statistics & numerical data
MH  - Humans
MH  - Injury Severity Score
MH  - Logistic Models
MH  - Male
MH  - Morbidity
MH  - Patient Admission/economics/statistics & numerical data
MH  - Pediatrics/*economics
MH  - Predictive Value of Tests
MH  - Retrospective Studies
MH  - Survival Analysis
MH  - Trauma Centers/*economics
MH  - Traumatology/*economics
MH  - Wounds and Injuries/classification/*economics/*epidemiology/etiology
PMC - PMC3695105
EDAT- 2001/04/20 10:00
MHDA- 2001/05/05 10:01
PMCR- 2001/04/01
CRDT- 2001/04/20 10:00
PHST- 2001/04/20 10:00 [pubmed]
PHST- 2001/05/05 10:01 [medline]
PHST- 2001/04/20 10:00 [entrez]
PHST- 2001/04/01 00:00 [pmc-release]
AID - 0440117 [pii]
PST - ppublish
SO  - Can J Surg. 2001 Apr;44(2):117-21.